| NPI | 1376869610 |
|---|---|
| Former Name | COURTNEY MICHELLE O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OH 35.152481) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0055302) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0055302) | |
| 207X00000X Orthopaedic Surgery (Licence: WA ML60164018) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2025-05-23 |